Search › Georgia › 363A00000X
Kristina Boccucci, PA
NPI 1740769132 · on the registry since 2018
Practice
- Address
- 1305 Jennings Mill Rd Bldg 300-110
Watkinsville, GA 30677 - Phone
- (706) 613-5880
- Organisation at this address
- Wellstreet Of Georgia Pc
Piedmont Athens Regional Medical Center IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 62
Additional practice sites
- 4234 Waylon Dr, Martinez, GA
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 207X00000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-11-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia